Evaluating the Sensation of Nasal Obstruction with Acoustic Rhinometry and Rhinomanometry

以鼻阻力測量儀及聲波鼻腔測量儀分析鼻塞的自我感覺

戴志峰(Chih-Feng Tai) ； 何坤瑤(Kuen-Yao Ho) ； 長谷川誠(Makoto Hasegawa)

《The Kaohsiung Journal of Medical Sciences》 14卷9期 (1998/09) Pp. 548-553

https://doi.org/10.6452/KJMS.199809.0548

摘要

評估一個人鼻塞的情有許多客觀方法，包括前鼻鏡檢查，內視鏡檢查，鼻組力測量儀，溫度測量儀，鼻氣體流速儀及電腦斷層檢查等。然而臨床上的觀察發現，鼻塞的自我感覺並不一定和客觀的檢查相符合。本研究以鼻阻力測量儀及聲波鼻腔測量儀來評估不同體骨之間以及同一個體內主觀的鼻塞感覺，並試圖找出其相關性。39位主訴鼻塞的病人分別計錄自我鼻塞評估表，鼻阻力，鼻腔最小擁面積及鼻容積。結果不管在單側側評估中，自我的鼻塞感覺和鼻阻力，鼻腔最小面積及鼻容積三者均沒有顯著的相關性。而鼻阻力則和鼻腔最小截面積及鼻容積間有統計上的相關。另外在2-7天內我們持續在10位健康自願者做相同的記錄，兩邊鼻腔共20次。有兩位受測者其客觀的檢查和主觀的鼻塞感覺有統計上的相關。然而有4位受測者完全沒有統計上的相關性。同時測量天數越短者，鼻塞的感覺和鼻阻力，鼻腔最小截面積及鼻容積三者呈現相關性的比例也有越高的趨向。在評估鼻腔阻塞程度方面，鼻阻力測量儀及聲波鼻腔測量儀提供我們準確，易測量及非侵犯性的客觀數據，兩者之間的確有良好的相關性，兩者均可做為手術前評估以及手術後追蹤工具。然而鼻塞的主觀感覺除了考慮鼻腔的生理與病理現象外，或許還必須包括精神與認知上的考量才能做完一個完整評估。

並列摘要

The relationships among subjective sensation of nasal obstruction, data of rhinomanometry and acoustic rhinometry between individuals or for each individual were explored. Thirty-nine subjects with nasal obstruction problems were examined using the visual analogue scale, nasal airflow resistance (NAR), nasal minimal cross-sectional area (MCA), and nasal cavity volume (NCV). No significant correlation was found between the sensation of unilateral or bilateral nasal obstruction to NAR, MCA, or NCV. Strong correlations between MCA nad NAR, and NCV and NAR were noted in this study. Another 10 healthy volunteers were investigated and correlation was studied on each individual level. Strong correlations within subject were found more commonly in persons with short-term follow-up than with the long-term follow-up group. In the present study, rhinomanometry results were compatible with acoustic rhinometry results. However describing the sensation of nasal patency with only rhinomanometric or acoustic rhinometric measurements seems still inadequate.

並列關鍵字

acoustic rhinometry ； rhinomanometry ； nasal obstruction